| NPI | 1912424532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK 294) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-08-03 |